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<br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTl\1ENT <br />V ARlANCE REQUEST <br />Application No.: V D 9. ..... () O"-{ <br />OFFICE USE ONLY: Fee: $150.00 DateReceived:C1-"2..S-c4 <br />Receipt No.: j ~ ~ L.O~ <br />Note: This Fee is Non-Refundable Regardless of the Board's Decision <br /> <br />Applicant: <br /> <br />/J-iL/t/V1-O ~K/ jl.J <br />. Name <br /> <br />'3?--?2- ~Lov M/J11?-~ 9'),"-- - /75- ??79:; <br />Address J. / - v.:.,/U (j) ........ Phone <br />I y-o ,/r~'"" f 0 /7 tJ;J-.5. / / . / <br />I am the owner of the herein described property. I have authorized U./ ;/~'/i-/II') /"Vt"c:./2/2-1 Lie <br />to act on my behalfin this matter. <br /> <br />Owner*: <br /> <br />6/L/~N <br /> <br />Name <br /> <br />~ <br /> <br />}//3/2-/2 I ck <br /> <br />Address <br /> <br />I am requesting a variance to Sect. <br />Code of Ordinance. <br />I am requesting this variance for property located at <br /> <br />3 I 5M-/:!;/}-c!- I~ 12f2r~~o!::ne /ff2t) <br />t"J, IE.. <br />of the City Zoning regulations Chapter 10 ofthe <br /> <br />Lo~ <br /> <br />?-c'J <br /> <br />AL C> c)( <br /> <br />2- 51Z.c IJ- <br />Legal Description <br /> <br />Street Addres~ L <br />~ 112~ O-vr-r"!l- JM-S~ <br /> <br />(D-Bfie PIa n <br />() Major Development Site Plan <br /> <br />( ) Minor Development Site Plan <br />( ) Cen eral Plan <br /> <br />A Site Plan of the property is attached. Also, I have listed the information requested below on the <br />following pages of this form. <br />a) All facts concerning the matter that has led up to this request. <br />b) The type of relief! am seeking (setbacks, lot coverage, etc.). <br />c) The grounds upon which I am making this request. <br />* If applicant is NOT the owner, he must provide Authorization to act on the Owner's behalf. <br /> <br />~5/0/ ~-~ <br />Date . Applicant's Signature <br />Office Use Only <br />Site Phn 2nd Authorization (if applicable) attached? Yes () No () <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />Meeting Date: <br /> <br />Applicant Notified of Date: <br /> <br />Notice to sunounding property owners- Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Iloards Decision mailed to Applicant/Owner: <br />